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49

TRANSLATING FUNCTIONAL FITNESS

TEST RESULTS

Aerobic capacity (VO

2 max

) is defined as the maximum

amount of oxygen that can be consumed per unit of

time. This is classically determined with a continuous,

progressive exercise test to exhaustion. While too involved

for general use, VO

2 max

is a standard for referencing

overall fitness. The complicated units of milliliters of

oxygen consumed per kilogram body mass per minute

(mL/[kg·min

-1

]) can be simplified by converting VO

2 max

values into metabolic equivalents (METs). MET

max

is determined by indexing VO

2 max

to resting oxygen

consumption (assumed to be 3.5 mL·kg

-1

·min

-1

, or 1 MET).

The higher the MET score, the higher the aerobic fitness.

An example of the conversion follows:

MET capacity (MET

max

) = VO

2 max

(in mL·kg

-1

·min

-1

) ÷ 3.5

e.g., 49 mL·kg

-1

·min

-1

(VO

2 max

) ÷ 3.5 = 14 METs

A diver with good buoyancy control should work little

during a typical dive. A skilled diver swimming at

no more than 0.5 knot could be working at around 3

METs. A diver maintaining a pace of 1.2 knots could

be working in the 10-12 MET range. We inferred

workrate from open-circuit gas consumption during

959 recreational dives and conservatively estimated a

mean workrate of 5 METs.

3

GETTING FIT FOR DIVING

The key to being physically fit to dive is to find a way to

stay active. The goal is to build or maintain reserves to

delay the point at which activity patterns have to decline.

Optimally, divers will be significantly physically active

daily and bolster this with 30-60 minutes of training-

quality activity three to four times per week. A mix of

activities is generally best to reduce the risk of injury and

boredom. (For suggested exercises, read our Dive Fitness

articles in each issue or online at

AlertDiver.com .

)

Physical training should target three key elements:

strength, aerobic capacity and flexibility. Low-impact

activities reduce the risk of injury, and activities that

involve water provide the added benefit of improving

comfort in the diving medium.

FIELD MEASURES OF PHYSICAL FITNESS

We conduct field evaluations of diver physical fitness as

part of many of our research studies. We record a variety

of measures to provide a snapshot for participants, often

motivating them to improve their numbers.

BODY MASS INDEX (BMI)

Body mass index (BMI) is not a measure of body

composition; it is simply a ratio of weight to height (weight

in kilograms divided by squared height in meters). Despite

this, BMI is used to predict body composition since it is

more common for an increase to reflect an accumulation

of fat than lean tissue. While convenient, BMI can provide

a poor estimate on an individual basis, requiring common

sense for interpretation. With this caution in mind, those

with BMI values outside the desirable range should have

their body composition evaluated further. If a high BMI is

the result of excess fat, lifestyle changes that incorporate

additional exercise and dietary changes are recommended.

Table 2. BMI measurement classifications

WAIST-TO-HIP RATIO (WHR)

A high waist-to-hip ratio (WHR) — i.e., having high

girth in the midsection — may indicate an increased

risk of developing heart disease. WHR standards are

Classification

BMI (kg·m

-2

)

Underweight

<18.5

Healthy

18.5 - <25.0

Overweight

25.0 - <30.0

Obesity

30.0 - 40.0

Morbid Obesity

>40.0

NEAL POLLOCK